Kids Camp Sign-Up Form 🏕️🎉

Brave Adventurers – Kids Summer Camp 2026 🏕️ Standing Strong for God 💪
Cornerstone Slieve Bloom Church
📅 Dates: 27th, 28th & 29th July 2026

🕙 Time: 10am – 3pm daily

Location:Cornerstone Slieve Bloom Church:Business Park, 3 Sragh Ave, Tullamore, Co. Offaly (beside Jumping Jacks) R35 X2N5

💰 Cost:

€5 per child per day (for families attending only one day)

€15 per child for all three days

€8 per day for a family of two or more children (for one or two days)

€25 for a family of two or more children for all three days

💳 Payment by cash or card on arrival

🍎 Snacks provided – please bring a full packed lunch each day

🎉 What to Expect

Children will enjoy: 🎊🎊🎊

* Bible stories and teaching
* Games and activities
* Music and fun
* New friendships

On the last day (29th July), parents are invited to join us at 3pm for a closing service which finishes at 4pm 🌟

📧 info@cornerstoneireland.ie

📞 087 644 3508
Parent/Guardian Full Name

First NameLast Name
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
How many children will attend?
Please list the names and ages of your children who will attend the camp.
Dietary restrictions

Other
Does any child have any medical conditions or allergies we should be aware of?
If none, leave blank
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship to Child
e.g. Grandparent, Aunt, Uncle
✅ I consent to staff administering basic first aid if needed
My kids are coming…
📸 As part of our Summer Camp, we would love to capture some of the joyful moments and activities your children will be participating in. These photos may be used for future church newsletters, social media, and other promotional materials 😊📸📸
✅May we have your permission to take photos of your children during the camp?
Before submitting this form, I confirm that:

✅ I agree that my personal data will only be used to process my child's registration for Kids Summer Camp 2026, will not be shared with third parties, and will be stored securely by Cornerstone Slieve Bloom Church

✅ I agree to the terms and conditions for registration

✅ All information provided is accurate, my child will bring a packed lunch each day, and I agree to their participation in all camp activities
I agree to all of the above (required)
Parent/Guardian Signature

By signing below, you confirm your consent to all of the above terms and conditions.
Should be Empty:

Brave Adventurers – Kids Summer Camp 2026 🏕️ Standing Strong for God 💪

Cornerstone Slieve Bloom Church